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Home My Public Portal About5332 NOEL DR_Electrical__ 78A883 CE808 11/70 APPLICATION FOR ELECTRICAL PERMI COONTY QF LOS ANGELES DEPARTIWENT OlO COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ,s 3 3 2 /110 _1 COLEMAN W JENKINS UPKRINTiENORNT OFUIL IN LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE OWNER 3 5 RECEPT ZIP MAIL FIRST 20 25 3 ADDRESS S C LIGHT TOT!.6, OVER 20 CITY TEL NO SWITCH 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 1 Zy APPLICANT FIXTURES OVER 20 10 ADDRESS APPLIANCES CITY ,/� A, TEL NO PERIT RANGE DRYER_WTR HTR APPLICANT Poly e`/ re STA COOK OI SP j__F A U ADDRESS 44-31 c Lo✓4e•QL SPACE HTR AIR COND CITY 7,-el Lt ep,,rXTEL NO 2-,W4:' CLOTHES WASH DISHWASH LICENSE NO 2 3 2/Q CLASS e__1 &P FANOTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION (/ AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WIT" ITN ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REOU RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 1 - 10 900 RESIDE IN THE ABOVE DESCRIB REST NTIAL PROPERTY 0 1SIGNATURE V 0 - 50 S00 OF PERMITTEE OC 50 - 100 1000 DISTRICTNO LASS I ZO PR C E BY O 100 — 500 15001 ri SIGN GAS= TUBE AND ONE CIRCUIT 500 NOTES ? MARQUEE ADDITIONAL CIRCUITS 100 SERVI CE NOT OVER 600 VOLTS OR 200 AMP 300 APPROVALS DATE INSPECTOR 9SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 1000 TEMP POWER POLE TEMPSERVICE POLE &APPURTENANCES 500 TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSEAS WORK ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 900 JO P ROOH N TOTAL FEE SUPERVI I G ELECTRICAL ENGINEEP PLAN CHECK VALIDATION CK M O CASH PERMIT VA ID N cK M 0 CASH cv LAW9 6 66N X25 2 B 1 75r SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS COMPENSATION DECLARATION tD/ei APPLICATION FOR ELECTRICAL PERMIT {'J I hereby affirm that I have a certificate 1306ete of consent to self insure CE BoeG L1 or a certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800 Lab C) Policy blo Comparry FOR APPLICANT TO FILL IN JOB J/J ❑ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS ❑ Certified copy is filed with the county budding inspection 1 &2 Family Sq Ft $ — $ LOCALITY 01 department Multi family Sq Ft — NEAREST CROSS 3T Date Appix ant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec—Light—Sw MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed 9 the work involved by the Total No Additional CITY Tel No permit Is for one hundred dollars($100)or less) I certify that in the performance of the work for which this perms PLAN CHECK APPLICANT is issued I shall not employ any person in arty manner so become su ct to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No v4ate pplicancao4z Fixed Appliances Not Over 1 HP PERMIT NO WMArCANT If dfier making this C;rtificateProf APPLICANT Exemption you should become syblect to the Workers Compensation Range_ HeaterD W _ APPLICANT L provisions of the 1,abor Code you must forthwith comply with such Oven _ Dryer_ W M _ ADDRESS / provisions or this permit shall be deemed revoked Top — FAU _ WH _ CITY1 N LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp — Room Air Cond LICENSE OR Class (commencing with Section 7000)of Division 3 of the Business and REG NUMBER Professions Code and my license is in full force and effectPower Apparatus&Large Appliances DISTRICT NO SSED BY �+_ _fj, p � l Lic Cla- . Size& HP jr9A or KVAR ��O O License Numbs Up 1 � FINAL40- Q Contractor ` ,� Over 1 to 10 Incl DATE e VALIDATION C ❑ Over 10 to 50 Incl FINAL I am Ampt under Sec Over 50 to 100 Inc BY W B&PC for this reason Over 100 N Date Services Swbd MCC&Panelboards ► Z 0 200 Amp Under 600 V Signatu " X01 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Mamt Elect SINGLE FAMILY Temp Power Pole&Appurtenances 2 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law ACC T.s for the following reason(Section 70315 Business and Professions Additional Sign Branch Circuits o Code) 3303 46 70 Misc Conduits&Conductors❑ 1 ITEM I as owner of the property will do the work and the structure Other(See Complete Fee Schedule) is not intended or offered for sale (Section 7044 Business TIITAL 46. 70 and Professions Code) CONSTRUCTION LENDING AGENCY CHECK 46 73 1 hereby affirm that there is a construction lending agency for the CHANGE 00 performance of the work for which this permit is issued(Sec 3097 PERMIT FEE (Sub Total) c Civ C) Landers Name PLAN CHECKING FEE 0000-MO1 7/12/99 Landers Address PERMIT ISSUING FEE 1288 1 AM 11 -7 1 certify that I have read this application and state that the above TOTAL FEE information is correct I agree to comply with all County ordinances and State laws regulating Elects I wrong and hereby authorize representatives of this County enter upon the 7 mentioned props or inspection purpo SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Da KER S ON hereby aff Ph1 that at II ka eMa certificate of consen Oto self Insure 76 DPW`12 91 j APPLICATION FOR ELECTRICAL PERMIT Ll or a certificate of Worker a Compensation Insurance or a bertified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB '"3Z N 'CL DE 'SA116 F'C/rr ADDRESS m� Certified copy is hereby furnished New Residential Bldgs &Poo 9,1 NO EACH FEE T _ $ $ LOCALITY ❑ Certified copy is filed with the county building Inspection 1&2 Family Sq Ft NEAREST department Multifamily Sq Ft CROSS ST Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Aa-Light_61- FIRM Sw NAME COMPENSATION INSURANCE (This section need not be completed if the work Involved by the 7-0 First 20 3 MAIL permit Is for one hundred dollars($100)or less) Total No Additional ADDRESS I certify that in the performance of the work for which this permit CITY Tel No is issued I shall not employ any person in any manner so as to P N CHECK become subject to the Workers Compensation Laws Lighting Fixtures First 20 PPLICANT S7 /I�A� O Total No Additional ADDRESS Date L/O y Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT Aow_.Ar� LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code and my license Is in full force and effect Over 10 to 50 Incl Over 50 to 100 Incl LICENSE OR Clew d REG NUMBER Over 100 DISTRICT NO SED BY V License Number Lic Class �e O Se ry es S d MCC& nelboards `, d A 01 cc Contractor Date 9 n r 600 V FINAL DATE J 0 F1400 1000 Amp Under 600 V I am exempt under Sac ~ V Over 1000 Amp or Over 600 V FINAL VALIDATION d B&P C for this reason BRANCH CIRCUIT FEES BY N Date 15A or 20A 120V Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A 20A 208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law �7_1K 7 for the following reason(Section 7031 5 Business and Professions Additional Sign Branch Circuits _1K -1-329 Code) I TTEMS ❑ I as owner of the property will do the work and the structure Misc Conduits&Conductors I) 4 JL 13 5 is not Intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) IT AL Professions Code) _ 1-CK L.3 r CONSTRUCTION LENDING AGENCY COME QQ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub Total) .Clv C) a J00G-QCQ1 9/ 2/99 PLAN CHECKING FEE _ -. Lenders Name C24" { Aft 9"23 PERMIT ISSUING FEE Lender s Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize representatives of th ounty to enter upon the above mentioned property r Inap pu es SEE REVERSE FOR EXPLANATORY LANGUAGE STC11WATURE ERMITTEE DATE